Distal fibula fracture

Patient Information

http://www.patient.co.uk/pdf/9192.pdf

GP Information

Background Information

• A common traumatic injury classically caused twisting or a direct blow.
• Patients may complain of pain at any point around the ankle or lower leg with pain on / inability to weight bear.
• Examination may reveal deformity, swelling, and tenderness over the fracture site.

Investigation Guidelines

• Patients with suspected fractures should undergo imaging as part of a specialist assessment. Apply the ottowa ankle rules to help decide who requires xray.
• http://www.theottawarules.ca/ankle_rules

Management Recommendations

• All patients with suspected acute ankle fractures should be referred immediately to A&E for imaging and further management.
• Delayed presentations should be referred to a local fracture clinic. Whilst awaiting a review the following conservative measures are recommended;
• PRICE
• NSAIDs
• Crutches to off load the injured leg.